Provider Demographics
NPI:1083018014
Name:TURKEL, JORDANA (RD)
Entity Type:Individual
Prefix:MS
First Name:JORDANA
Middle Name:
Last Name:TURKEL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 E 72ND ST
Mailing Address - Street 2:APT 31C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4671
Mailing Address - Country:US
Mailing Address - Phone:845-642-8023
Mailing Address - Fax:
Practice Address - Street 1:353 E 72ND ST
Practice Address - Street 2:APT 31C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4671
Practice Address - Country:US
Practice Address - Phone:845-642-8023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY998036133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered